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Experience with compliance investigations, audits, and ongoing monitoring activities, including the development and monitoring of corrective active plans, data collection and analysis, or other healthcare compliance-related activities required. Job Summary: Our client is looking for Hospital Compliance Analyst who would be responsible for performing a variety of activities in support of hospital compliance program initiatives, with a focus on investigations and reporting; and auditing and monitoring within hospital.

Macpower Digital Assets Edge Private Limited

Hospital Compliance Analyst

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OTHER

Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Strong knowledge of CPT, HCPCS, ICD-10-CM, Evaluation and Management services, modifiers, medical necessity, provider documentation requirements, payer billing requirements, CMS guidance, NCCI edits, LCDs, NCDs, and professional fee reimbursement required.

Texas Oncology

Sr. Medical Coding Educator

[AW]-iCims

Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Researches, prepares, develops, and delivers education to physicians, advanced practice providers, clinical teams, coders, business office staff, and operational leaders through individual sessions, group meetings, webinars, written guidance, and other approved methods.

Sr Medical Coding Educator

Sr. Medical Coding Auditor

Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.

HeartFlow

Field Reimbursement Manager - Southwest

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Stays abreast of the latest developments, advancements, and trends in the field of data management and compliance and ethics by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Consistently serves as a resource for Parkland employees, developing collaborative working relationships and providing timely advice related to compliance and ethics matters.

Parkland Hospital

Senior Compliance Investigations Consultant

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Position Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.

HOUR

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.
We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.
Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

Sutter Health

Charge Audit Analyst

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. Qualifications Minimum 3–5 years of ER (Emergency Room) coding experience for facility and professional billing required .

Exceptional Healthcare Inc.

Senior ER Coding Auditor

Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.

Texas Children's Hospital

Manager Coding Quality/Education

In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians'' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.

Coding Quality Assurance Specialist II

Sr. Coding Quality Analyst

The Education Consultant works with stakeholders to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. This individual is a contributing member of a cross functional team, which includes division staff, Central Coding Unit (Parallon), practice leadership, business owners, project management, the Physician Service Center, IT&S and others as needed.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Coding Operations Education Consultant WFH

Jobvite Talemetry Organic Easy Apply

Clinical Documentation Specialist - Professional Ambulatory

CPT/HCPCS Coding: Familiarity with Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) is essential for coding various medical procedures. Behavioral Health hospital is hiring 2 full-time professional Medical Coders of 2 years, proficient in IRF (Inpatient Rehabilitation Facility) and BH (Behavioral Health, Pediatric) to join our team onsite in Sherman, TX.

RPC Company

Medical Coders (IRF and BH) | Sherman, TX

Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. The Certified Coding Specialist I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.

Cook Children's Health Care System

Certified Coding Specialist I

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Reviews and interprets patient medical records documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. The Certified Coding Specialist II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.

Certified Coding Specialist II

ADAPTED_NOW

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM manual and other relevant material.

In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people. To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health. Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion. Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health.

CHRISTUS Health

HCC Coding Auditor Senior - Health Plan Network

Certification in at least ONE of the following: Certified Coding Specialist (CCS) from AHIMA or Certified Professional Coder Instructor (CPC-I), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Physician Practice Manager (CPPM), Certified Documentation Expert Outpatient (CDEO), or Certified Professional Compliance Officer (CPCO) from AAPC. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

The University of Texas at Austin

Provider Coding Education Specialist

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

License/Certification: One or more of the following certifications may be required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC). Validates accuracy of diagnostic and procedural coding, payment methodology, and reimbursement amount; develops written rationale of findings; responds to providers for resolution of appeals.

Outpatient Coder Jobs in Texas

Hospital Compliance Analyst Macpower Digital Assets Edge Private Limited

Sr. Medical Coding Educator Texas Oncology

Sr Medical Coding Educator Texas Oncology

Sr. Medical Coding Auditor Texas Oncology

Field Reimbursement Manager - Southwest HeartFlow

Senior Compliance Investigations Consultant Parkland Hospital

Charge Audit Analyst Sutter Health

Senior ER Coding Auditor Exceptional Healthcare Inc.

Manager Coding Quality/Education Texas Children's Hospital

Coding Quality Assurance Specialist II Texas Children's Hospital

Sr. Coding Quality Analyst Texas Oncology

Coding Operations Education Consultant WFH HCA Healthcare

Clinical Documentation Specialist - Professional Ambulatory Texas Children's Hospital

Medical Coders (IRF and BH) | Sherman, TX RPC Company

Certified Coding Specialist I Cook Children's Health Care System

Certified Coding Specialist II Cook Children's Health Care System

HCC Coding Auditor Senior - Health Plan Network CHRISTUS Health

Provider Coding Education Specialist The University of Texas at Austin

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Coding Quality Specialist Centene Corporation Group

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